PUBLISHER: Marketstrat, Inc. | PRODUCT CODE: 2147370
PUBLISHER: Marketstrat, Inc. | PRODUCT CODE: 2147370
US Ultrasound Market: Utilization Economics, Fleet Replacement, and the AI Layer, 2024A-2035E
Report Overview
This Marketstrat® Focus Report assesses the US ultrasound market from 2024A through 2035E, drawing on the Global Ultrasound Horizon model and developments through September 2026, with a Canada sidebar. Our view is that utilization economics, not device specifications alone, will decide the next phase: providers need more usable examinations per staffed session, and vendors need to keep accounts across hardware generations.
Key Questions Answered
- How should value be measured when the economic unit is the completed examination?
- What does the shift to compact and handheld formats mean for revenue, fleet mix and lifecycle service?
- Where can ultrasound AI earn recurring payment?
- How do the CY2027 Medicare proposals and trade actions change procurement?
Market Snapshot
The core ecosystem combines systems, service and aftermarket, and core AI recurring revenue across five hardware segments. Shipments outpace systems revenue as lower-priced formats broaden the installed base. Core AI recurring revenue grows fastest, yet hardware still supplies most incremental revenue through 2035.
Key Market Trends
- 1. Compact consoles become the scale engine. They become the largest systems revenue segment while holding monetization quality.
- 2. Handheld/POCUS leads volume. It becomes the largest shipment category as use spreads into emergency departments, ICUs, wards and offices.
- 3. Purchasing diversifies. Managed service, subscription and pay-per-use models outgrow capital purchase, putting upgrade rights and data-export terms into the buying decision.
- 4. Policy rewards operational proof. Lower proposed conversion factors and the interim Software as a Medical Service approach favor offers built on measurable workflow value over an assumed AI fee.
Competitive Structure
GE HealthCare and Philips are assessed as premium, workflow-oriented incumbents, FUJIFILM Sonosite as a bedside and procedural specialist, and Mindray as a price-performance challenger. Butterfly Network and Clarius represent handheld platforms. AI specialists such as Us2.ai and Koios Medical are reviewed by route to scale, and recent clearances from ThinkSono, RadNet/DeepHealth and ROPCA are treated as evidence milestones.
What's Inside
Market model: Revenue, shipments and installed base by hardware segment, 2024A–2035E.
Frameworks: The US Growth-Engine Matrix and an ARC-Index read across seven AI capabilities, plus the AI value-pool bridge.
Policy and trade: CY2027 fee schedule and OPPS proposals, service-specific coding, and Section 301 and 232 interaction.
Structure views and outlook: Purchase-model, end-market, application and operating-model allocations, signals to watch over 12–24 months, and implications by stakeholder.
Who Should Read This Report
- Ultrasound OEM strategy and product leaders
- Software and AI vendors planning US commercialization
- Investors and corporate development teams assessing ultrasound or imaging AI assets
- Hospital, IDN and outpatient leaders planning fleet replacement or point-of-care programs
- Consultants advising on imaging procurement
Why This Report
The report keeps AI value pools, purchasing models and end markets as reconciled views of one revenue base rather than separate markets to add together. It separates company-reported clearances from measured adoption and turns policy proposals into commercial tests.
Table of Contents
EXECUTIVE SUMMARY
INTRODUCTION, SCOPE, AND HOW TO READ THIS REPORT
- MARKET BOUNDARIES AND INTERPRETATION
US MARKET SNAPSHOT
DEMAND AND UTILIZATION ECONOMICS
- HOW TO ASSESS UTILIZATION ECONOMICS
FLEET ECONOMICS AND REPLACEMENT DYNAMICS
TECHNOLOGY MIX SHIFT
- US GROWTH-ENGINE MATRIX
THE AI LAYER IN THE US
- ARC-INDEX: THE US COMMERCIALIZATION READ
- US ULTRASOUND AI: SELECTED CLINICAL AND DEPLOYMENT DEVELOPMENTS
POLICY, REIMBURSEMENT, AND TRADE ENVIRONMENT
- CY2027 PHYSICIAN FEE SCHEDULE (PROPOSED JULY 14, 2026)
- CY2027 OPPS: SOFTWARE SERVICES AND OFF-CAMPUS IMAGING
- CODING AND POCUS: SPECIFIC SERVICES, NOT A GENERAL AI ADD-ON
- TRADE POLICY: ORIGIN, PRODUCT CLASSIFICATION, AND INTERACTION RULES
COMPETITIVE AND COMMERCIAL DYNAMICS
- WHAT SELECTED MID-2026 DISCLOSURES ESTABLISH
HOSPITAL CAPITAL AND IDN PURCHASING SIGNALS
US MARKET STRUCTURE VIEWS
SIDEBAR: CANADA IN BRIEF
SIGNALS TO WATCH (NEXT 12 TO 24 MONTHS)
IMPLICATIONS
- FOR OEMS
- FOR SOFTWARE AND AI VENDORS
- FOR INVESTORS AND STRATEGY TEAMS
METHODOLOGY AND SOURCES
RESEARCH REFERENCES
List of Tables
- TABLE 1: US ULTRASOUND MARKET SNAPSHOT (2024A, 2030E, 2035E, CAGR)
- TABLE 2: US ULTRASOUND SYSTEMS INSTALLED BASE BY HARDWARE SEGMENT (2024A, 2030E, 2035E, CAGR)
- TABLE 3: US ULTRASOUND SYSTEMS REVENUE BY HARDWARE SEGMENT ($MM; 2024A, 2030E, 2035E, CAGR)
- TABLE 4: US ULTRASOUND UNIT SHIPMENTS BY HARDWARE SEGMENT (2024A, 2030E, 2035E, CAGR)
- TABLE 5: US ULTRASOUND AI VALUE-POOL BRIDGE BY STREAM ($MM; 2024A, 2030E, 2035E)
- TABLE 6: ARC-INDEX: RETAINED HORIZON SCORES WITH UPDATED US COMMERCIALIZATION COMMENTARY
- TABLE 7: IMAGING APCS INCLUDED IN THE PROPOSED OFF-CAMPUS POLICY
- TABLE 8: NORTH AMERICA SYSTEMS-REVENUE SHARE PROXY FOR US COMPETITIVE CONTEXT (2024A)
- TABLE 9: SELECTED MID-2026 DISCLOSURES: METRIC SCOPE AND US ULTRASOUND RELEVANCE
- TABLE 10: US SYSTEMS REVENUE BY PURCHASE MODEL MIX ($MM; 2024A, 2030E, 2035E, CAGR)
- TABLE 11: US ECOSYSTEM REVENUE BY END-MARKET MIX ($MM; 2024A, 2030E, 2035E, CAGR)
- TABLE 12: US ECOSYSTEM REVENUE BY CLINICAL APPLICATION MIX ($MM; 2024A, 2030E, 2035E, CAGR)
- TABLE 13: US ECOSYSTEM REVENUE BY OPERATING MODEL MIX ($MM; 2024A, 2030E, 2035E, CAGR)
- TABLE 14: CANADA ULTRASOUND MARKET SNAPSHOT (2024A, 2030E, 2035E, CAGR)
List of Figures
- FIGURE 1: US ULTRASOUND CORE ECOSYSTEM REVENUE BY MODELED STREAM
- FIGURE 2: US ULTRASOUND INSTALLED BASE BY HARDWARE GROUP
- FIGURE 3: US ULTRASOUND GROWTH-ENGINE MATRIX BY HARDWARE SEGMENT
- FIGURE 4: US ULTRASOUND BROADER AI VALUE POOL BY MONETIZATION STREAM
